Effects of vital exhaustion on cardiac autonomic nervous functions assessed by heart rate variability at rest in middle-aged male workers
Effects of vital exhaustion on cardiac autonomic nervous functions assessed by heart rate variability at rest in middle-aged male workers
复制标题
中年男性工人静息心率变异性评估生命力竭对心脏自主神经功能的影响
DOI：
--
复制
发表时间：
2002
影响因子：
2.7
通讯作者：
K. Kono
中科院分区：
文献类型：
--
作者：
Takemasa Watanabe;Y. Sugiyama;Yoshiko Sumi;Misuzu Watanabe;K. Takeuchi;F. Kobayashi;K. Kono
我们调查了52名健康中年男性工人的生命衰竭（VE）对心脏自主神经功能的影响，这些影响与工作条件（如加班和频繁出差）以及生活方式（如吸烟）有关。采用简化的马斯特里赫特生命衰竭问卷评价VE。高VE组的高频（HF：0.15- 0.4Hz）分量的平均振幅较低，而低频（LF：0.04- 0.15Hz）分量功率与HF功率的比值（LF/HF比值）在VE组间无显著性差异。VE和吸烟对HF振幅、VE和频繁出差对LF/HF比值有显著的交互作用。中年男工的VE症状与静息时心脏副交感神经功能受抑制有关，而与交感迷走神经平衡的改变无关。吸烟和过度工作，如经常出差，可能会放大与VE的工人有明显的感觉VE的自主神经功能障碍。
We investigated the effects of vital exhaustion (VE) on cardiac autonomic functions in relation to working conditions such as overtime and frequent business trips, and to lifestyles such as smoking on 52 healthy middle-aged male workers. VE was evaluated by an abbreviated Maastricht Vital Exhaustion Questionnaire. Cardiac autonomic function atsupine rest was assessed by spectral analysis of heart rate variability inanannual healthcheckup.Themeanamplitudeofthehigh frequency(HF: 0.15-0.4 Hz) component was lowerinthe high-VE group, whereas no significant difference in the ratio ofthe low frequency (LF: 0.04-0.15 Hz) component powerto HF power (the LF/HF ratio) was observed among VE groups. There were significant interactive effects of VE and smoking on HF amplitude, and of VE and frequent business trips on the LF/HF ratio. VE symptoms were related to the suppression of the cardiac parasympathetic nervous functionat rest in middle-aged male workers, but not to the alteration in sympathovagal balance. Smoking and overwork such as frequent business trips may amplify the autonomic dysfunction in relation to VE among workers with a pronounced feeling of VE.